The UMP website is moving. This website contains 2019 UMP information for PEBB members only (through the end of 2019). If you are a PEBB member and/or you will be a new School Employees Benefits Board (SEBB) member and you need 2020 UMP benefits information, visit our new UMP website.

Prescription drugs

Quick find

Note: To make sure you pay the right amount for your prescriptions, always show your UMP ID card first. If you have a prescription drug discount card, show that card second to see if you can get a discount on prescriptions UMP does not cover.

Prescription price check tool or UMP Preferred Drug List?

Use the prescription price check tool if you want to know how much your drug will cost. To get information specific to your account, log in to your pharmacy account and use the tool.

The UMP Preferred Drug List  is a better bet if you are looking for the following:

  • If a drug is covered by the plan.
  • How much you will pay based on the drug's tier.
  • If the drug must be preauthorized​.
  • If the  drug must be purchased from UMP's specialty pharmacy, Ardon Health.
  • If there are any limits on a drug's coverage.
  • If there are less expensive alternatives.

Changes to the UMP Preferred Drug list are posted online at least once a month. However, not all drugs are listed on the UMP Preferred Drug List. Also, a drug may change tiers at any time, particularly when a generic equivalent becomes available. New brand-name drugs may not be covered during the first 180 days they are available.

For questions about your prescription drugs, or to check if a new drug is covered, call Washington State Rx Services at 1-888-361-1611 (TRS: 711).

Note: When a generic equivalent for a brand-name drug becomes available, the brand-name drug immediately becomes Tier 3 (nonpreferred). Always ask your doctor to allow substitution on your prescriptions to save you money.

Who is Washington State Rx Services?

Washington State Rx Services (WSRxS) manages your prescription drug benefit. Washington State Rx Services is a partnership of companies that provide administration and customer service, prescription drug claims processing, a network mail-order pharmacy, and a network specialty drug pharmacy. These companies are Moda Health, MedImpact Healthcare Systems Inc., Postal Prescription Services, and Ardon Health.

When you have questions about your prescription drug coverage or need help finding a network vaccination pharmacy, call Washington State Rx Services at 1-888-361-1611 (TRS: 711). Contact the mail-order or specialty pharmacy directly (see bottom of page) for help placing or tracking prescription orders.

What can I do with a pharmacy account?

With your pharmacy account, you can:

  • View your prescription drug claims history.
  • Find forms and member resources.
  • Use the Drug Information and Interaction Checker to learn more about your prescription drugs, how they interact with each other, and how they interact with over-the-counter drugs.

Register for or log in to your online pharmacy account

Find guidelines for drugs UMP covers

To find the criteria a prescription drug must meet to be covered by UMP, and covered exceptions, read the "Guidelines for drugs UMP covers" section in your PSHVN or UW Medicine ACN certificate of coverage. This section also explains which products are covered as preventive. Read the "Guidelines for drugs UMP does not cover" section in your PSHVN or UW Medicine ACN certificate of coverage to learn about drugs not covered under the plan.

Contact

Washington State Rx Services (network pharmacies)
Online: Your pharmacy account
Phone: 1-888-361-1611
TRS: 711
Business hours: 24 hours a day, 7 days a week

Postal Prescription Services (network mail-order pharmacy)
Online: Your PPS account
Phone: 1-800-552-6694
Business hours: Monday through Friday 6 a.m. to 6 p.m. and Saturday 9 a.m. to 2 p.m. (Pacific)

Ardon Health (network specialty drug pharmacy)
Phone: 1-855-425-4085
TRS: 711
Business hours: Monday through Friday 8 a.m. to 7 p.m. and Saturday 8 a.m. to noon (Pacific)